Top 120 Authorization representative Jobs in Amherst, Ny

Medical Billing Coordinator
Cazenovia Recovery Systems, Inc —Buffalo, NY
- $25 - $26 an hour
- Full-time
- Mid-level
- 3 years
- Analysis skills
- Health savings account
- Health insurance
Quick Apply
Customer Service Representative
GEICO —Getzville, NY
- $19.34 - $29.51 an hour
- Weekends as needed
- High school diploma or GED
- Communication skills
- Entry level
- Paid holidays
- Health insurance
11d
Patient Services Representative
Kaleida Health —Williamsville, NY
- $17.37 - $23.89 an hour
- Overtime
- High school diploma or GED
- Organizational skills
- Computer skills
- Free parking
- Health insurance
Quick Apply
Patient Services Representative - 20940
General Physician, P.C —Williamsville, NY
- $17.37 - $23.89 an hour
- Overtime
- High school diploma or GED
- Organizational skills
- Computer skills
- Free parking
- Health insurance
Patient Services Representative (PSR)
Kaleida Health —Williamsville, NY
- $17.37 - $23.89 an hour
- Overtime
- High school diploma or GED
- Organizational skills
- Computer skills
- Free parking
- Health insurance
Quick Apply
Patient Service Representative- Scheduling
Great Lakes Medical Imaging LLC —Williamsville, NY
- $18 - $23 an hour
- Full-time
- Computer literacy
- Administrative experience
- High school diploma or GED
Patient Services Representative - 20386
General Physician, P.C —North Tonawanda, NY
- $17.37 - $23.89 an hour
- Overtime
- High school diploma or GED
- Organizational skills
- Computer skills
- Free parking
- Health insurance
Patient Service Representative- Registration (Saturdays)
Great Lakes Medical Imaging LLC —Williamsville, NY
- $18 - $23 an hour
- Overtime
- Ability to walk for extended periods
- Administrative experience
- High school diploma or GED
10d
Customer Service Representative
Independent Health —Buffalo, NY
- $19 an hour
- Overtime
- Hybrid work
- Research
- Office
- High school diploma or GED
- Paid time off
Patient Services Representative - 22210
General Physician, P.C —Amherst, NY
- $17.37 - $23.89 an hour
- Overtime
- Primary Care
- High school diploma or GED
- Organizational skills
- Free parking
- Health insurance
8d
Surgical Scheduler
Kaleida Health —Buffalo, NY
- $20.11 - $27.66 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Surgery
- Free parking
- Health insurance
Quick Apply
Patient Services Representative
Grider Support Services LLC —Buffalo, NY
- $17 - $23 an hour
- Full-time
- Surgery
- HIPAA
- Administrative experience
- Paid holidays
- Health insurance
Quick Apply
Patient Access Representative [RP-N]
Roswell Park Cancer Institute —Buffalo, NY
- $42,641 a year
- Full-time
- Administrative experience
- High school diploma or GED
- Clinic
Patient Service Representative, Physical Therapy
Excelsior Orthopaedics —Amherst, NY
- $18 - $30 an hour
- Full-time
- High school diploma or GED
- Associate's degree
- Medical terminology
Quick Apply
4d
Prior Authorization Coordinator - Infusion Administration
Dent Neurologic Group LLP —Amherst, NY
- $17 - $22 an hour
- Full-time
- HIPAA
- Entry level
- Free parking
- Wellness program
Quick Apply
Customer Account Coordinator
PCB Piezotronics, Inc. —Depew, NY
- $18.32 - $27.00 an hour
- Full-time
- High school diploma or GED
- Data entry
- 1 year
- Health savings account
- Paid holidays
9d
Patient Services Representative (PSR) - 21384
General Physician, P.C —East Aurora, NY
- $17.37 - $23.89 an hour
- Overtime
- High school diploma or GED
- Organizational skills
- Computer skills
- Free parking
- Health insurance
Patient Services Representative - Float
Windsong Radiology Group —Williamsville, NY
- $18 - $19 an hour
- Full-time
- Float pool
- Computer literacy
- HIPAA
- Profit sharing
- Paid holidays
Quick Apply
Patient Services Representative (Part-Time)
UBMD Primary Care —Buffalo, NY
- $17 - $19 an hour
- Part-time
- Background check
- OSHA
- Pass drug screening
Quick Apply
NSO (Apprentice)
Disabled American Veterans —Buffalo, NY
- $20.18 - $31.39 an hour
- Full-time
- Customer service
- Office
- High school diploma or GED
- On-the-job training
Quick Apply

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Medical Billing Coordinator

Cazenovia Recovery Systems, Inc -
Buffalo, NY

Quick Apply

Job Details

Full-time
$25 - $26 an hour

Benefits

Health savings account
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Professional development assistance
Life insurance
Referral program

Qualifications

Appeals
Financial data reconciliation
Accounts receivable management
Driver's License
Medical insurance appeals management
Medical billing account reconciliation
Insurance claims appeal handling

Full Job Description

General Role Description

The Medical Billing Coordinator is responsible for the management of Medicaid and Managed Care Organization (MCO) billing activities for designated agency programs. This position oversees claim submission, reimbursement tracking, denial management, payment reconciliation, and accounts receivable follow-up to ensure timely and accurate revenue collection.

The Medical Billing Coordinator serves as the agency's primary resource for payer-related billing matters, including eligibility issues, authorization requirements, rate changes, retroactive adjustments, prorated billing calculations, and reimbursement discrepancies. Working closely with Finance, Program, and external payer representatives, this position helps maximize reimbursement opportunities, strengthen billing processes, and support future expansion of billable services.

Essential Duties and Responsibilities

Accurately prepares, reviews, and submits weekly electronic medical claims to third party payers in accordance with established billing schedules and payer requirements.
Monitors claim status throughout the billing process.
Investigates and resolves denied, suspended, underpaid, or rejected claims.
Maintains billing records and supporting documentation to ensure compliance with payer, regulatory, and agency requirements.
Reviews admissions, discharges, transfers, authorizations, and census information to ensure accurate billing.
Reviews remittance advice and payment reports to ensure accurate reimbursement and identify collection opportunities.
Calculates and processes billing adjustments related to rate changes, retroactive eligibility determinations, payer updates, and prorated service periods.
Performs ongoing accounts receivable follow-up activities to maximize collections and reduce outstanding balances.
Identifies reimbursement opportunities resulting from retroactive approvals, rate adjustments, claim corrections, payer processing errors, or other billing discrepancies.
Maintains knowledge of Medicaid, Managed Care Organization (MCO), and payer billing requirements affecting agency services.
Establishes and maintains relationships with billing software representatives to solve technical issues.
Coordinates with other key external and internal staff to obtain necessary solutions to billing issues.
Implements billing and reporting processes within medical billing software.
Creates medical billing software reports to monitor managed care / insurer approvals and payment process.
Generates reports for the Finance department for data entry of managed care / insurer revenue and payments into QuickBooks.
Provides assistance and backup for other members of the Finance department as needed.

Requirements

Associate’s degree in Medical Billing and Coding, Healthcare Administration, Business, Accounting, or a related field preferred. Equivalent combination of education and experience will be considered. Three to five years of experience in medical billing, managed care billing, Medicaid billing, behavioral health billing, or related reimbursement functions.
Experience working with claim denials, appeals, accounts receivable follow-up, payment reconciliation, and reimbursement analysis.
Knowledge of Medicaid and Managed Care billing requirements is strongly preferred.
Must have a valid New York State driver’s license and reliable automobile.

Pay: $25.00 - $26.00 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Professional development assistance
Referral program
Vision insurance

People with a criminal record are encouraged to apply

Work Location: In person

Quick Apply

Refine Your Search

authorization representative jobs in amherst, ny

Medical Billing Coordinator

Customer Service Representative

Patient Services Representative

Patient Services Representative - 20940

Patient Services Representative (PSR)

Patient Service Representative- Scheduling

Patient Services Representative - 20386

Patient Service Representative- Registration (Saturdays)

Customer Service Representative

Patient Services Representative - 22210

Surgical Scheduler

Patient Services Representative

Patient Access Representative [RP-N]

Patient Service Representative, Physical Therapy

Prior Authorization Coordinator - Infusion Administration

Customer Account Coordinator

Patient Services Representative (PSR) - 21384

Patient Services Representative - Float

Patient Services Representative (Part-Time)

NSO (Apprentice)

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